KRYSTAL MEREDITH LEWIS (NPI# 1184950693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184950693 |
| Entity Type | Individual |
| Full Name | KRYSTAL MEREDITH LEWIS |
| Credential | SUPERVISED LADC |
| Practice Address |
605 W Gore Blvd Ste 1 Lawton OK 73501-3732 |
| Mailing Address |
6 Sw 69th St Apt D Lawton OK 73505-6724 |
| Practice Telephone | 5802501406 |
| Mailing Telephone | 5802643090 |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OK | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100734740A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114532009 | Krystal T Lewis | Psychologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4530 | 2020-09-09 |
| 1568089126 | Krystal Lewis | Case Manager/Care Coordinator | 245 N Grant Ave, Columbus, OH 43215-2641 | 2020-06-30 |
| 1811432057 | Krystal D Lewis | Pharmacist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2016-12-26 |
| 1922495761 | Krystal Lewis | Counselor | 18646 Oxnard St, Tarzana, CA 91356-1411 | 2015-04-20 |
| 1578961322 | Krystal Lewis | Psychologist | 137 N Oak Park Ave, Suite 218, Oak Park, IL 60301-1344 | 2014-12-10 |
| 1700134335 | Krystal Lewis | Specialist | 22 New York Rd, Plattsburgh, NY 12903-3981 | 2012-08-29 |
| 1033369848 | Krystal Angelique Lewis | Dentist | 301 W End Ave, Dickson, TN 37055-1725 | 2008-09-29 |
| Street Address |
605 W GORE BLVD STE 1 |
| City | LAWTON |
| State | OK |
| Zip Code | 73501-3732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861789331 | Lawton Psychiatry Services, LLC | Counselor | 605 W Gore Blvd Ste 1, Lawton, OK 73501-3732 | 2011-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596729 | Alyssa K Manfredi | Speech-Language Pathologist | 1700 Nw Lee Blvd, Lawton, OK 73501 | 2020-10-21 |
| 1295079705 | Premier Behavorial Health | Community/Behavioral Health | 2305 Southwest H Avenue, Suite #1, Lawton, OK 73501 | 2012-11-21 |
| 1306156989 | Diana Nix | Licensed Practical Nurse | 611 Sw B Ave, Lawton, OK 73501 | 2010-10-15 |
| 1689993214 | Crystal Leday | Physical Therapy Assistant | 602 S.e. Wallock, Lawton, OK 73501 | 2010-05-21 |
| 1457679862 | Gary Dean Gardner | Dentist | 1301 West Gore Blvd, Suite 2, Lawton, OK 73501 | 2010-05-10 |
| 1962729848 | Tayler Gammon | Hearing Instrument Specialist | 423 S.w. C Ave, Lawton, OK 73501 | 2010-04-30 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1710122833 | Provide Hearing Aids | Public Health or Welfare | 1201 West Gore Blvd, Suite D, Lawton, OK 73501 | 2008-12-03 |
| 1053506121 | Mercer Beauty Supply | Orthotic Fitter | 1016 Sw D Ave, Lawton, OK 73501 | 2007-09-11 |
| Find all providers in zip 73501 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811557200 | Inertia Services LLC | Counselor | 1311 Sw Washington Ave, Lawton, OK 73501-7231 | 2019-06-18 |
| 1992179923 | Sonya Ann Smalley | Counselor | 214 Nw 44th St Apt 214f, Lawton, OK 73505-6047 | 2015-11-13 |
| 1598107179 | Cynthia Blackwell | Counselor | 702 Nw Homestead Dr, Lawton, OK 73505-5205 | 2013-07-23 |
| 1033456355 | Southern Oklahoma Treatment Services | Counselor | 1307 Sw Washington Ave, Lawton, OK 73501-7231 | 2013-01-07 |
| 1356619431 | Jaynee Marie Nelson | Counselor | 2305 Sw H Ave, 1, Lawton, OK 73505-8103 | 2011-12-05 |
| 1720307135 | Muhammad Ali | Counselor | 5326 Nw Elm Ave, Lawton, OK 73505-4622 | 2010-05-25 |
| 1063734952 | Marion Stelly | Counselor | 5 Nw 27th St, Lawton, OK 73505-6209 | 2010-02-19 |
| 1932430725 | Eric B Carpenter Sr. | Counselor | 807 Sw F Avenue, Lawton, OK 73501 | 2010-01-19 |
| 1447487640 | Benjamin Llanos | Counselor | 1719 Sw 11th, Lawton, OK 73501 | 2009-06-15 |
| 1154506137 | Glenda Faye Haynes | Counselor | 411 W Gore Blvd, Lawton, OK 73501-3710 | 2008-01-08 |
| Find all providers in LAWTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.